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Hospital-based antimicrobial stewardship, India.

Sonam Vijay1, V Ramasubramanian2, Nitin Bansal3

  • 1Division of Epidemiology and Communicable Diseases, Indian Council of Medical Research, New Delhi, Ansarinagar, 110029India.

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|January 3, 2023
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Summary
This summary is machine-generated.

Implementing antimicrobial stewardship programs in Indian hospitals shows success. Key enablers include institutional support, trained staff, and educational activities for better antimicrobial use.

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Area of Science:

  • Infectious Diseases
  • Public Health
  • Hospital Administration

Background:

  • Antimicrobial resistance is a growing global threat.
  • Effective antimicrobial stewardship programs (ASPs) are crucial for combating resistance.
  • Implementation of ASPs in resource-limited settings like India presents unique challenges.

Purpose of the Study:

  • To establish a framework for implementing antimicrobial stewardship in Indian tertiary care hospitals.
  • To identify challenges and enablers for successful ASP implementation.

Main Methods:

  • A systematic approach was used by the Indian Council of Medical Research from 2018-2021.
  • 20 tertiary care hospitals participated in a feasibility study of ASP implementation.
  • Progress was assessed via physician questionnaires and qualitative surveys on barriers and enablers.

Main Results:

  • Significant improvements in ASP indicators were observed post-intervention.
  • Monthly point prevalence analysis of cultures increased from 3 to 20 hospitals.
  • Formulary restrictions and prescription audit/feedback practices saw substantial increases.

Conclusions:

  • Antimicrobial stewardship is feasible and can be successfully implemented in Indian tertiary hospitals.
  • Institutional support, trained personnel, and educational initiatives are vital for success.
  • Willingness to expand ASPs and recruit dedicated staff indicates positive future prospects.